Individual
MRS. SUSAN KATHRYN GREGORY
Active
Individual
MRS. SUSAN KATHRYN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
06683
MD
1041C0700X
Clinical Social Worker
0904002233
VA
1041C0700X
Clinical Social Worker
Primary
12161
AZ
1041C0700X
Clinical Social Worker
C003015
NC
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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